| NPI | 1558050856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 103146-875) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 110078) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2025-10-01 |